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How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Delaware?
Last verified October 17, 2026 · All Delaware resources
In Delaware, the income limit is $2,485/month and the asset limit is $2,000 single. Delaware sets its long-term care Medicaid income limit at 250% of the SSI benefit, which works out to $2,485 a month in 2026, lower than the 300% most states use. If gross income is over that limit, the applicant must set up a Miller trust to qualify. Assets can't exceed $2,000 unless the applicant has a spouse, in which case spousal rules apply. A nursing facility resident keeps $75 a month for personal needs.
| Program | Delaware Long-Term Care Medicaid (Nursing Facility Program) and home and community-based services through Diamond State Health Plan Plus (DSHP Plus) |
|---|---|
| Income limit (single applicant) | $2,485/month for a single applicant (250% of SSI) |
| How income is counted | other: special income limit set at 250% of SSI (not 300%) |
| Qualified income (Miller) trust used | Yes |
| Asset limit (single) | $2,000 single |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Delaware Medicaid waivers that pay for home care.
How to apply in Delaware (Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance (DMMA))
What should you confirm with the state?
Confirm with DMMA that the same 250% limit applies to home and community-based services through DSHP Plus.
Sources
More for Delaware
Medicaid eligibility by state: other states
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